Information Collection

Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Private Sector)

IC 186503 under ICR 202110-0651-003 · OMB 0651-0035.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0035 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Private Sector)	Form
PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change o aia0083.pdf www.uspto.gov/sites/default/files/documents/aia0083.pdf	Form
PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change o sb0083.pdf www.uspto.gov/sites/default/files/documents/sb0083.pdf	Form

IC Title:

Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Private Sector)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 37 CFR 1.36(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	PTO/AIA/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	aia0083.pdf	https://www.uspto.gov/sites/default/files/documents/aia0083.pdf	Yes	Yes	Fillable Fileable Signable
Form	PTO/SB/83	Request for Withdrawal as Attorney or Agent and Change of Correspondence Address	sb0083.pdf	https://www.uspto.gov/sites/default/files/documents/sb0083.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records

Title: Patent Application Files

FR Citation: 78 FR 19243

Number of Respondents: 2,134

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,395	0	0	3,395
Annual IC Time Burden (Hours)	1,698	1,019	0	679
Annual IC Cost Burden (Dollars)	288	0	288	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.